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胺碘酮注射液因其广谱的抗心律失常作用及安全性,在快速性心律失常治疗中应用日益广泛[1,2]。但此药直接外周静脉给药可出现浅表静脉炎,指南及药品说明书均推荐经中心静脉给药。急诊患者病情急,要求治疗措施尽快实施,而中心静脉置管术技术要求高,不能立即获得,因此应急性经外周静脉使用胺碘酮具有临床必要性。2012─2014年我科改进胺碘酮用药护理措施,探讨集束化护理干预降低使用胺碘酮导致静脉炎的效果。
Amiodarone injection is widely used in the treatment of tachyarrhythmia due to its broad spectrum of anti-arrhythmic effects and safety [1,2]. However, this drug can be administered directly to peripheral venous superficial phlebitis, guidelines and manuals are recommended by the central intravenous drug delivery. Emergency patients in acute condition, requiring treatment to be implemented as soon as possible, and central venous catheterization requires high technology, can not be obtained immediately, so the use of peripheral amiodarone by emergency clinical necessity. 2012 ─ 2014 Our department to improve amiodarone medication care measures to explore the effect of bundled nursing interventions to reduce the use of amiodarone lead to phlebitis.